Narrative research methodology is evolving, and we contend that the notion of emergent design vital if narrative inquiry (NI) to continue flourishing in generating new knowledge. We situate discussion within turn qualitative while drawing on experiences conducting a longitudinal study. The philosophical tensions encountered are described, as our understanding application approaches evolved. outline challenges data collection analysis response what were learning identify institutional...

Medical assistance in dying (MAiD) represents a historic change Canadian society and the provision of end-of-life care. In this descriptive narrative inquiry, 17 nurses were interviewed during first 6 months assisted becoming legal option for patients Canada. Nurses' experiences either providing care patient who had chosen MAiD, or declining to participate explored. Findings describe three themes eight storylines impact MAiD on nurses' view profession, clinical practice, personally. While...

Purpose: The purpose of the study is to examine liminal experiences living with uncertainty life-threatening illness. Increasing numbers people illness live in-between promise treatment and threat recurrence or progression disease, yet this experience not well understood. Design: A narrative inquiry methodology within a constructionist frame was used. Method: Semistructured in-depth interviews were conducted 32 participants from three populations interest: (a) 10 cancer, (b) 13 chronic renal...

This article explores important questions around the often taken for granted approach to interviewing within narrative inquiry. When I applied an interview that emphasized dialogical, performative, and social, tensions were provoked muddied my assumptions equilibrium. By sharing story, invite readers reflect upon researcher's role in interviewing. address arose between (a) presence performance, (b) equality power, (c) leading following, (d) insider outsider, (e) influence neutrality, (f)...

Nurses witness pain and distress up close consequently experience their own suffering. A narrative study of Canadian nurses' participating in medical assistance dying found previous witnessing unresolved end-of-life suffering has shaped acceptance dying. Little is known about the impact medically assisted on suffering.To explore how overall by dying.Qualitative secondary analysis using inquiry thematic analysis.Nurses' narratives are chronologically organized addressing experiences before...

Medical assistance in dying (MAiD) legislation was passed Canada 2016, yet the bereavement experience of family and friends is not well understood. Using interpretive description, we interviewed nine bereaved individuals. The time before assisted death seems most impactful—an bringing to life shapes after death. We identified themes that inform this grieving: (1) certainty date/time death—intensifies a parade lasts, initiates countdown affords say good-bye; (2) active engagement as planners...

To examine stories of spirituality in people living with serious illness.Although knowledge about the experience various chronic illnesses is growing, there little known peoples' beliefs and perspectives relating to where a diagnosis life-limiting illness.A social constructionist approach narrative inquiry was used.In-depth interviews were conducted on one occasion 32 participants. This included 10 cancer, 14 end stage renal disease (ESRD) eight HIV/AIDS. They ranged age from 37-83 18 men...

Medical assistance in dying opens up uncharted professional territory for Canadian physicians extending their practices to include assisting and hastening death eligible patients.To understand physicians' experience of participating assisted the emotional impact.An interpretive descriptive methodology thematic analysis were used this research. We interviewed eight engaged assessing providing medical dying. Data collected through audio taped, semi-structured interviews person or by...

Being the one who provides an assisted death is complex and profound, yet lived experience of this novel act little understood in Canada. In article, we highlight methodological issue how might peer behind emergent threads that addressed us data. A narrative-hermeneutic approach revealed for eight providers interviewed, embodied existential experience. The providing MAiD fostered feelings conviction, courage, compassion, intimacy. We ultimately find human connection. holds a dimension way to...

Aging with HIV is a new phenomenon. It expected that by 2015, approximately half of adults living in the United States will be age 50 and older. We used narrative inquiry to explore how older storied their experience made sense aging. Over 3.5-year period, we interviewed 5 for 13 24 years. In analyzing coconstructed stories, identify six storylines enhance understanding guide listening: embodiment illness, making, death loss, secrets stigma, identity, seeking connection. theorize degree...

Accessing medical assistance in dying (MAiD) became legal Canada June, 2016. This marks a unique time our history, as eligible persons can now opt for an assisted death and health care professionals be involved without criminal repercussion. I used autoethnographic approach to explore describe my experience of implementing coordinating new MAiD program local authority. Part is self-reflexive narrative based on journal entries about immersion this practice role over 6 month period. In II,...

In this paper we respond to the commentary, Human misconnection? A response Beuthin and Bruce on Medical Assistance in Dying providers' lived experience, by C. Lyon. While spirited respectful debate of topics interest society are important, illustrate how Lyon offers a polarizing reaction findings with which he simply does not agree. We surface ignores methodological context underpinning interpretive original study. so doing, violates an important tenet scholarly critique renders his claims...

Aim To present a case example of using an arts-based approach and the development art exhibit to disseminate research findings from narrative study.Background Once study has been completed, final step dissemination is crucial. In this paper, we explore benefits bringing nursing into public spaces approach.Data sources Findings qualitative exploring experiences living with life-threatening illnesses.Review methods Semi-structured in-depth interviews were conducted 32 participants cancer,...

Stories hold meaning, and when persons tell of their experiences living with illness, they are afforded an opportunity to make sense all that is happening. As nurses, we have the privilege hearing particular, gaining understanding, creating a powerful encounter has healing health benefits. This call for nurses more intentionally invite listen stories illness. The mnemonic STORIED offered help weave together essential elements narrative practice approach: Subjective, Tell/Listen, Openness,...

Recognizing that older adults are among the biggest consumers of medication, and demographic group most likely to suffer an adverse drug reaction (ADR), this paper details findings from a recent study on how come understand medication its related use. Using qualitative content analysis method, semi-structured interviews were conducted with 21 individuals British Columbia, Canada. Study participants ranged in age 65 89 years (male=9, female=11). NVIVO(®) 7 software, data subjected comparative...

While multisource feedback and coaching have shown promise as effective professional development strategies for physicians, the effectiveness of these interventions with nurse practitioners (NP) remains unknown. Despite this knowledge gap, multiple nursing colleges in Canada require their practitioner members to participate processes. This study looked at its NPs concluded that it shows a strategy.

The recent introduction of medical assistance in dying (MAiD) has significant implications for healthcare workers, nurse educators, and society at large. Nursing students are being asked to participate directly or indirectly with a medically assisted death. Little is known about nursing students' experiences attitudes toward MAiD Canada.The purpose this study was explore the fourth-year caring patients who choose MAiD. aim understand perceptions their educational preparation regarding...

The provision of MAiD will be in flux for a few years, as legislative challenges are underway. This article addresses what leaders need to know and do support nurses today the future regarding care patients choosing MAiD. Drawing on complexity leadership theory research into nurses' experiences caring persons MAiD, we share 10 simple yet foundational things leader must know. Underpinning our key messages current evidence familiar nursing concepts such end-of-life care, death trajectories,...

Communicating openly and directly about illness comes easily for some patients, whereas others fear of disclosure keeps them silent. In this article, we discuss findings the role keeping secrets regarding health illness. These were part a larger project on how people with life-threatening illnesses re-story their lives. A narrative approach drawing Frank’s dialogical analysis Riesman’s inductive was used. Interviews conducted 32 participants from three populations: chronic kidney disease,...

Using narrative inquiry, the researchers interviewed 5 older adults on occasions over a period of 3.5 years about their experiences aging with HIV. The participants' stories were analyzed for metaphors. Individual metaphors reveal complex, unique struggle: living between tensions uncertainty and hope, facing death in moment, suffering hurt amidst joys evolving identity. are fluid, although time life experience facilitate shift towards reconciliation. An overarching metaphor across this group...